Long-term results of laryngotracheal resection for benign stenosis

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Antonio D'AndrilliErino A Rendina

Abstract

We report the long-term results of our 16-year experience with laryngotracheal resection for benign stenosis. Between 1991 and 2006, 35 consecutive patients (19 males, 16 females) underwent laryngotracheal resection for subglottic postintubation (32) or idiopathic (3) stenosis. Mean age was 43 years (range 14-71). At the time of surgery 13 patients presented with tracheostomy and 7 with a Dumon stent. The upper limit of the stenosis was from 0.6 to 1.5 cm below the vocal cords. The length of airway resection ranged between 1.5 and 6 cm. Suprahyoid release was performed in two patients and pericardial release in one. Nine patients had psychiatric and/or neurological post-coma disorders. Mean follow-up is over 5 years (61 months; range 3-194). There was no perioperative mortality. Thirty patients (85.7%) had excellent or good anatomic and functional results. Four patients (11.4%) presented restenosis at a distance of 25-110 days from the operation. Restenosis was successfully treated by endoscopic procedures in all four patients. One patient (2.9%) presented anastomotic dehiscence that required temporary tracheostomy closed after 1 year with no sequelae. Three patients (8.4%) had wound infection. Long-term follow-up was uneventfu...Continue Reading

Citations

Apr 8, 2014·Archivos de bronconeumología·David Barros CasasAdnan Majid
Dec 4, 2013·Thoracic Surgery Clinics·Erich Hecker, Jan Volmerig
Jan 23, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Antonio D'AndrilliErino Angelo Rendina
Aug 4, 2012·The Annals of Thoracic Surgery·Alessandro GonfiottiPaolo Macchiarini
Nov 17, 2015·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Takuma TsukiokaRyoji Yamamoto
Oct 31, 2015·Thoracic Surgery Clinics·Smita Sihag, Cameron D Wright
Oct 24, 2009·Internal Medicine Journal·J P WilliamsonP R Eastwood
Dec 17, 2009·Otolaryngologia polska. The Polish otolaryngology·Małgorzata WierzbickaMałgorzata Leszczyńska
Apr 26, 2015·The Annals of Otology, Rhinology, and Laryngology·Sharon H GnagiDavid G Lott
Sep 4, 2016·Experimental Biology and Medicine·En-Guo ChenHui-Hui Hu
Sep 15, 2018·Multidisciplinary Respiratory Medicine·Alessandra SicilianiMohsen Ibrahim
Jan 17, 2021·The Journal of Thoracic and Cardiovascular Surgery·Giulio MauriziAntonio D'Andrilli

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